Evidence map›Paper›PMID 35869510›Full record

ArticleBMC women's health2022

Prevalence and associated factors of early sexual initiation among female youth in East Africa: further analysis of recent demographic and health survey.

Samuel Hailegebreal, Girma Gilano, Binyam Tariku Seboka, Habile Sidelil, Shekur Mohammed Awol, Yosef Haile, Atsedu Endale Simegn, Firehiwot Haile

Abstract read
In one paragraph

Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Samuel HailegebrealDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia. samuast@gmail.com.
Girma GilanoDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Binyam Tariku SebokaDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
Habile SidelilArba Minch College of Health Science, Arba Minch, Ethiopia.
Shekur Mohammed AwolDepartment of Health Informatics, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Yosef HaileCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, Arba Minch, Ethiopia.
Atsedu Endale SimegnDepartment of Anesthesia, College of Medicine and Health Sciences, Wachemo University, Hosaena, Ethiopia.
Firehiwot HaileCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, Arba Minch, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly sexual initiation is one of the risky sexual practices. Early sexual beginning is associated with an increased risk of HIV/AIDS, sexually transmitted infections (STIs), unexpected pregnancies, unsafe abortion, premature deliveries, and psychosocial issues. However, there is still a lack of evidence, particularly in East Africa, where community-level factors are not investigated. Therefore, this study aimed to estimate the pooled prevalence and to identify associated factors of early sexual initiation among female youth in Eastern Africa.

methodsA total weighted sample of 49,716 female youth was included in this analysis. STATA version 14 software was used for data extraction, recoding, and analysis. A multilevel binary logistic regression model was fitted to identify determinants of early sexual initiation in the region. Finally, Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was reported to declare the factors that are significantly associated with early sexual initiation.

resultThe prevalence of early sexual initiation in East Africa was 21.14% [95% CI: 20.00%, 21.50%]. In the multivariable multilevel analysis; being age 20-24 years [AOR = 0.65: 95% CI; 0.61, 0.69], primary [AOR = 0.73: 95% CI; 0.67, 0.78], secondary &above education [AOR = 0.30: 95% CI; 0.27,0.33], married [AOR = 1.85: 95% CI; 1.73,1.97], middle wealth [AOR = 0.78: 95% CI; 0.72,0.84], richest [AOR = 0.74: 95% CI; 0.68,0.80], and reading newspaper [AOR 0.77: 95% CI;0.71,0.83] were significantly associated with early sexual initiation.

conclusionThe study revealed that early sexual initiation among female youth was high in East Africa. Educational status, respondent age, marital status, wealth index, age at first cohabitation, contraceptive use, reading newspaper, and place of residence were associated with early sexual initiation. Therefore, the survey findings will help policymakers, as well as governmental and non-governmental organizations, design the most effective interventions. Moreover, strengthening information, education, and wealth status are important intervention areas to delay the age of early sexual debut.

Indexed as

Sexual BehaviorAdolescentAdultAfrica, EasternFemaleHealth SurveysHumansMarital StatusPregnancyPrevalenceYoung AdultEarly sexual initiationEast AfricaFemale youth

Identifiers

PMID35869510
PMCPMC9306043

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.